In early April, the Centers for Medicare & Medicaid Services (CMS)announced a contingency plan to allow entities covered by the Health Insurance Portability and Accountability Act (including providers) to work toward compliance with the National Provider Identification (NPI) rule after the May 23 implementation deadline.

The Department of Health and Human Services (HHS) had established May 23 as the deadline for physicians to begin using an NPI when transmitting claims and other HIPAA transactions electronically. However, HHS has received a number of inquiries expressing concerns about the health care industry's ability to meet this deadline.

Therefore, during the 12-month period immediately following the May 23,2007, compliance date, CMS intends to look at covered entities' (non-small health plans) good faith efforts to come into compliance with the NPI standards. It will determine on a case-by-case basis whether reasonable cause for the noncompliance exists and, if so, whether the entity should be...

You do not currently have access to this content.